VITALII OMELIANCIC (NPI# 1528581873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528581873 |
| Entity Type | Individual |
| Full Name | VITALII OMELIANCIC |
| Credential | DMD |
| Practice Address |
3227 W Blue Ridge Dr Greenville SC 29611 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 8642958888 |
| Practice Fax Number | 8642951241 |
| Mailing Telephone | 2159191658 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8989 | SC | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8989 | SC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 Harrison Bridge Rd Ste D, Simpsonville, SC 296807133 | (864) 962-3515 | 8649623520 |
| Street Address |
3227 W BLUE RIDGE DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513172 | Javon A. Mckenzie | Dentist | 3227 W Blue Ridge Dr, Greenville, SC 29611-3905 | 2005-07-29 |
| 1699058750 | Cheryle Reilly | Dentist | 3227 W Blue Ridge Dr, Greenville, SC 29611-3905 | 2011-09-26 |
| 1306132618 | Miglena V Stoikov | Dentist | 3227 W Blue Ridge Dr, Greenville, SC 29611-3905 | 2011-06-24 |
| 1235203886 | Kool Smiles P.C. | Dentist | 3227 W Blue Ridge Dr, Greenville, SC 29611-3905 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184347 | Emily Brooke Wheeler Maltba | Dentist | 1105b Allen Ridge Dr, Greenville, NC 27834-0083 | 2020-05-02 |
| 1952937369 | Palms Dentistry 226 LLC | Dentist | 25 Innovation Dr # 100, Greenville, SC 29607-5252 | 2020-03-17 |
| 1053945964 | Huggins Dental LLC | Dentist | 407 Duncan Chapel Rd Ste B, Greenville, SC 29617-8224 | 2020-02-29 |
| 1578105482 | Star Bright Onsite, LLC | Dentist | 6709 White Horse Rd, Greenville, SC 29611-2503 | 2019-10-11 |
| 1053966408 | Maria Isabel Baltar De Barros Rego | Dentist | 1609 W Arlington Blvd Ste 107, Greenville, NC 27834-5610 | 2019-08-02 |
| 1366000739 | Andrew Joseph O'keefe | Dentist | 5076 Us Highway 264 E, Greenville, NC 27834-5804 | 2019-05-31 |
| 1811459159 | Southern Oak Dental, LLC | Dentist | 101 Verdae Blvd Ste 201, Greenville, SC 29607-3832 | 2019-04-04 |
| 1154889798 | Zachary Fox | Dentist | 1106 Woodruff Rd Ste A, Greenville, SC 29607-4109 | 2019-03-02 |
| 1366908238 | Joshua Lovick | Dentist | 3912 E 10th St, Greenville, NC 27858-8798 | 2019-02-15 |
| 1114497963 | Family Dental Health of Halton Road, LLC | Dentist | 155 Halton Village Cir Ste A, Greenville, SC 29607-6825 | 2018-12-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29611 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.